Book reviews

Socializing Epistemology: The Social Dimensions of Knowledge, Frederick F. Schmitt, Ed., 1994. Lanham, MD, Rowman and Littlefield, ix + 315 pp., US$22.95, ISBN: 0847679594

A Dynamic Systems Approach to the Development of Cognition and Action, Esther Thelen & Linda B. Smith. Cambridge, MA, MIT Press, xxii + 376 pp., $50, ISBN 0–262–20095–3 cloth

From Kant to Hilbert: A Source Book in the Foundations of Mathematics, William B. Ewald, Ed., 1996. Oxford, Oxford University Press. xviii+ 1340 pp., £195.00, two volumes, ISBN 0–19–853271–7 (the set)     

African Americans and Consultation

This article reviews key issues related to racial minorities working as consultants, provides an analysis of possible impediments to successful consultation by stage of the process, and provides examples of how majority consultants can provide support for this underrepresented group in the field. Implications for training are discussed.     

Is Speech Arrest during Wada Testing a Valid Method for Determining Hemispheric Representation of Language?

Background and objective: The intracarotid amobarbital procedure, or Wada test, is the method of choice to determine hemispheric representation of language, and is routinely used in the presurgical evaluation for intractable epilepsy. Some investigators perform comprehensive language assessments, but others base language lateralization solely on speech arrest. This study sought to determine whether speech arrest alone during Wada testing provides valid data regarding language lateralization. Methods: The subjects (previously reported) were 21 patients evaluated for intractable epilepsy, who underwent language lateralization by Wada testing and functional MRI (FMRI). For each patient, language representation was determined by calculating: (1) a Wada laterality index based exclusively on speech arrest; (2) a Wada laterality index based on comprehensive language assessment; and (3) an FMRI laterality quotient. Correlation coefficients and categorical classifications were analyzed. Results: There was no significant correlation between the Wada laterality quotient derived from duration of speech arrest and either the comprehensive Wada language laterality score (r= .35,p= .12) or FMRI language laterality score (r= .32,p= .16). Categorical classification as left, right or bilateral language also showed marked discordance between speech arrest and the other two methods. Conclusion: Duration of speech arrest during Wada testing is not a valid measure of language dominance.     

Practice-based competencies for accreditation of and training in graduate programs in genetic counseling

In January 1996, the American Board of Genetic Counseling (ABGC) adopted 27 practice-based competencies as a standard for assessing the training of graduate students in genetic counseling. These competencies were identified and refined through a collective, narrative process that took place from January through November 1994, and included directors of graduate programs in genetic counseling, ABGC board members and expert consultants. These competencies now form the basis of the document Requirements for Graduate Programs in Genetic Counseling Seeking Accreditation by the American Board of Genetic Counseling (American Board of Genetic Counseling, 1996). The competencies are organized into four domains and are presented and discussed in this article.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January, 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling

The American Board of Genetic Counseling (ABGC) sponsored a consensus development conference with participation from directors of graduate programs in genetic counseling, board members, and expert consultants. Using a collective, narrative, and case-based approach, 27 competencies were identified as embedded in the practice of genetic counseling. These competencies were organized into four domains of skills: Communication; Critical Thinking; Interpersonal, Counseling, and Psychosocial Assessment; and Professional Ethics and Values. The adoption of a competency framework for accreditation has a variety of implications for curriculum design and implementation. We report here the process by which a set of practice-based genetic counseling competencies have been derived; and in an accompanying article, the competencies themselves are provided. We also discuss the application of the competencies to graduate program accreditation as well as some of the implications competency-based standards may have for education and the genetic counseling profession. These guidelines may also serve as a basis for the continuing education of practicing genetic counselors and a performance evaluation tool in the workplace.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

Acquisition-test interactions between

The effects of changes in context on recognition memory were investigated in two experiments. In Experiment 1 target items were embedded in congruous or incongruous sentence frames and then tested in the original, new congruous, or new incongruous contexts. Experiment 2 included a third encoding condition; targets were also embedded in abstract definitional sentences. Both experiments revealed a reliable crossover interaction between the initial encoding condition and the mode of the changed context. Congruous items were recognized better in new congruous contexts, whereas incongruous items were recognized better in new incongruous contexts. Recognition of definitional items was equally impaired by both context changes. The results suggest the importance of the symmetry between acquisition and test encoding dimensions. These experiments also point out the need to distinguish between different ways in which the concept “integration” is used in current research.     

Left-handedness and spatial reasoning abilities: The deficit hypothesis revisited

Left-handers with an inverted handwriting posture have been found by Levy and Reid to have relatively bilateral representation of tachistoscopically tested verbal and spatial functions. On the assumption that such bilateral representation is inefficient, it was hypothesized that left-inverted subjects (N = 20) would score lower than left- and right-handers with normal handwriting postures (Ns = 64, 66 respectively) on spatial reasoning. Results were consistent with the hypothesis. Possible alternative explanations and directions for future research are outlined.     

Interactive effects of generalized and situational expectancies on the arousal of cognitive and emotional components of social anxiety

This study examined the arousal of social anxiety in an interview setting as a function of anticipated self-disclosure. Of 88 college students who completed the Social Avoidance and Distress (SAD) scale and other measures of social anxiety, self-disclosure, need to affiliate, and interpersonal trust, 24 volunteered for the interview. During the interview, both components of anxiety (worry and emotionality) were affected by expectancy conditions, and emotionality was higher for high- than for low-SAD subjects. The prediction of an interaction between SAD level and expectancy condition on worry was confirmed: only high-SAD subjects exposed to the negative-expectancy condition experienced significant elevations in worry. Though social anxiety and self-disclosure measures correlated negatively, anxiety did not affect self-disclosure during the interview.     

Spatial localization does not require the presence of local cues

The purpose of this paper is to demonstrate that rats can rapidly learn to locate an object that they can never see, hear, or smell provided it remains in a fixed spatial location relative to distal room cues. Four groups of rats were permitted to escape from opaque water onto a platform which was either just above or just below the water surface, and in either a fixed or varied location. Learning occurred rapidly except for the group for whom the escape platform was below the water surface and moved about from place to place. Transfer tests revealed that a spatial location search strategy was employed by the group for whom the platform was below water but in a fixed location. A second experiment investigated this learning further, revealing instantaneous transfer when the rats were required to approach the platform from a novel starting position. The data of both studies are discussed in relation to recent work on spatial memory in the rat. The concept of the “acuity” of spatial memory is introduced and the procedures used may provide a new approach to comparing spatial memory with classical and instrumental conditioning.